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Chronic perianal pain: an unsolved problem

M E Neill, M Swash

    Journal of the Royal Society of Medicine
    |February 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Chronic anal pain of unknown origin affects 35 patients. This poorly understood condition, often linked to sciatica and pelvic floor damage, lacks effective treatments due to an unidentified cause.

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    Area of Science:

    • Proctology
    • Neurology
    • Pelvic Floor Disorders

    Background:

    • Chronic anal pain is a debilitating condition.
    • The etiology of this pain is often unclear, leading to diagnostic challenges.
    • Current treatment options for this condition are frequently unsatisfactory.

    Purpose of the Study:

    • To describe a cohort of patients presenting with chronic anal pain of obscure origin.
    • To investigate potential associated conditions and clinical features.
    • To highlight the challenges in diagnosing and treating this poorly defined syndrome.

    Main Methods:

    • Retrospective case series.
    • Description of clinical presentation and history in 35 patients.
    • Review of associated symptoms and physical findings.

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    Main Results:

    • Thirty-five patients with chronic anal pain were identified.
    • A high incidence of sciatica was observed in this patient group.
    • Damage to the pelvic floor musculature was frequently noted.
    • Pain characteristics suggested a neuralgic component, though the source remained unknown.

    Conclusions:

    • Chronic anal pain of obscure origin represents a distinct, yet ill-defined, clinical syndrome.
    • The condition is associated with neurological symptoms like sciatica and physical damage to the pelvic floor.
    • Further research is needed to elucidate the underlying cause and improve therapeutic strategies for this condition.